BERNICE ANDERSON (NPI# 1689667602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689667602 |
| Entity Type | Individual |
| Full Name | BERNICE ANDERSON |
| Credential | DO |
| Practice Address |
2200 W Illinois Ave Midland TX 79701-6407 |
| Mailing Address |
Po Box 5718 Norman OK 73070-5718 |
| Practice Telephone | 4326851111 |
| Mailing Telephone | 8663218433 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
H9489 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 140270338 | 05 |
| Street Address |
2200 W ILLINOIS AVE |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538166913 | Elizabeth Kay Williams | Physical Therapist | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2005-06-30 |
| 1407191182 | Permian Emergency Management | General Acute Care Hospital | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2012-12-06 |
| 1902190564 | Newborn Hearing Screens of West Texas Pllc | Specialist | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2011-06-01 |
| 1912202367 | Rhonda K Jagow | Nurse Practitioner | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2011-01-17 |
| 1427293737 | Leslie A Collier | Dietitian, Registered | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2008-12-16 |
| 1336305192 | Rhonda Kiker Carr | Dietitian, Registered | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2008-07-31 |
| 1649438730 | John Ray Blevins | Internal Medicine | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2008-05-27 |
| 1629144027 | Joseph Aaron Cox | Nurse Practitioner | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2006-11-28 |
| 1134294317 | Permian Emergency Management Pllc | Hospitalist | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2006-11-22 |
| 1285705988 | Midland Memorial Hospital | General Acute Care Hospital | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486888 | James L Sikes | Emergency Medicine | 210 E Longview Ave, Ste A, Midland, TX 79701 | 2005-09-06 |
| 1912991084 | Terry L Beck | Emergency Medicine | 3401 Greenbriar Ste 200, Midland, TX 79707-4653 | 2005-09-06 |
| 1447562863 | Gb Medical Group Pllc | Emergency Medicine | 3401 Greenbriar, Suite 200, Midland, TX 79707-4607 | 2010-07-14 |
| 1144200890 | Kyungho S Choi | Emergency Medicine | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2006-01-19 |
| 1518951342 | Lawrence A Wilson | Emergency Medicine | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2005-09-08 |
| 1871587733 | Andrew A Lawrence | Emergency Medicine | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2005-09-07 |
| 1184618951 | Steven D Rea | Emergency Medicine | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2005-09-07 |
| 1578557468 | Jose G Delgado | Emergency Medicine | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2005-09-07 |
| 1649264631 | Edgardo Valle | Emergency Medicine | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2005-09-06 |
| 1801889993 | Midland Emergency Management Pllc | Emergency Medicine | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2005-08-24 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.